• Remote Personal Training Questionnaire

    Remote Personal Training Questionnaire

    What if it can turn out better than you imagine? 🤍
  • Gender
  • Whats the activity level at your job?
  • How often do you travel?
  • Are you experiencing any stresses or motivational problems?
  • Has anyone of your immediate family developed heart disease before the age of 60?
  • Do any diseases run in your family?
  • Do you suffer from diabetes, asthma, high or low blood pressure?
  • Are you a current cigarette smoker?
  • Your current diet could be best characterized as:
  • Please rate your readiness for change.
  • What following goals does best fit in with your goals?
  • Rows
  • Please rate your motivational level to do what it takes for reach your goal.
  • Are you currently excersising regulary (at least 3x per week)?
  • Have you trained with a personal trainer before?
  • At what times during the day would you prefer to train?

  • 1.) ALL THE INFORMATION I HAVE GIVEN IS CORRECT

    All the information on this form is correct and to the best of my knowledge. I have sought and followed any necessary medical advice. I understand that all the information given will be kept confidential.

    2.) LIABILITY

    The client acknowledges that participation in physical exercise has inherent risks and agrees to participate at their own risk. The Trainer is not liable for any injuries or health issues that may arise from the training.

    3.) CONFIDENTIAL

    Both parties agree to keep all personal information, medical details, and training program details confidential.

    4.) PRICING

    Payment method- Venmo, ApplePay, Cashapp 

  • I AGREE TO THE ABOVE TERMS & CONDITIONS!
  • Should be Empty: